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<br />. ~ ~ - <br />l;/, <br /> <br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br /> <br />BUILDING DBPARTMBNT 5335 8~ STRBBT ZBPHYRRILLS" PL 33540 <br />Phone:813-780-0020 Pax:813-780-0021 <br />DATE RBCBIVED <br />PLANS REVIEW PBE <br /> <br />. <br /> <br />OHNER'S NAME _t= M 'IY\(.+ C1i;-kr be,,,,, L <br />JOB SITE ADDRESS ~o4 S h 54{'ce.~ <br /> <br />PHONE CONTACT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL ID # <br /> <br />WORK PROPSED: ONEW CONSTRUCTION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />o ADDITION <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />~INSTALL <br /> <br />o SIGN <br />PROPOSED USE:~GL FAMILY DWELLING <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />DMULTI - FAMlLY <br /> <br />0# OF UNITS <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o COMMERCIAL <br /> <br />o INDUSTRIAL <br /> <br />o SWIMMING POOL <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF HORK '7.eq 1 f.k:e t'V\eo'\-l- 04 Ak U>'l. + (~~ ~ ) <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />o BUILDING <br /> <br />$_~O() <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W.R.E.C. <br /> <br />o PLUMBING <br />~ECHANICAL $-l "8 0 () <br />o GAS 0 ROOFING 0 SPECIALTY <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br /> <br />BUILDER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br />BLBCTRICIAN <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />****************************************************************** <br /> <br />PLUMBBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br /> <br />* ***************************~******* <br /> <br />COMP Y 5v(}€F'bO- ~~CC"'r>k{. <br />TATE CERT OR REGIST # c.. fPCo 'C)O \' II <br />CITY PROCESSING # /'0 '7 <br /> <br />OTHBR <br /> <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***************************************************************** <br />